Displaying 120041-120050 of 1611142 results.
ID:
120041
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120042
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120043
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120044
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120045
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120046
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120047
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120048
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120049
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
120050
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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